Task Request for Volunteer/Volunteen Assistance
|[pic] |Volunteer Application |
| | |
| |Volunteers are vital to Worthington Libraries. We welcome community involvement in the Library |
| |and offer a variety of opportunities to match your interests, skills, and availability. |
| |In order to be considered for volunteer service, please fully complete this application. Thank|
| |you. |
| |
Name: ______________________________________________ Date: __________________
Address: ____________________________________________________________________
Home phone: _____________ Cell: _________________ Email: ______________________
I prefer to be contacted at: home ___ cell ___ email ___ no preference ___
Emergency contact: __________________________________________________________
(name/phone/relationship to you)
Employment history: please tell us about your most recent paid positions, if applicable:
|Employer |Dates of Employment |Description of your Duties |
| | | |
| | | |
Volunteer history: please tell us about your volunteer experiences, if applicable:
|Organization |Dates Volunteered |Description of your Duties |
| | | |
| | | |
Education (highest grade completed): ___________________________________________
School: _____________________________________________________________________
Gender: M___ Are you 18 years or older? Yes ___ No ___
Applicants under 18 years of age or not in their last quarter of high school should
F___ complete a Volunteen application, available at any customer service desk.
Are you applying for a specific volunteer position? If so, which one? _____________________
Do you need community service hours? Yes ___ No ___
If yes, for: college ___ workplace ___ court-ordered ___ other (explain) _________________
If yes, how many hours do you need? ________________ By what date? __________________
Are you applying for a short-term volunteer position? If so, what dates are you available?
____________________________________________________________________________________Why are you interested in volunteering with the Library?
____________________________________________________________________________________
____________________________________________________________________________________
I prefer to work: in public___ behind the scenes___ either___
I prefer to work: alone___ with a group___ either___
Areas of Interest (select all that apply). Please note: not all areas are available at all times or at all libraries:
| |Computers – data entry, spreadsheets, etc. | |Homebound program |
| |Decorating / displays / crafts | |Sorting and shelving library materials |
| |English Conversation Group | |Technical services / repairing materials* |
| |Gardening / landscaping | |Working with historic documents* |
| |Homework Help Center | | |
| |Library programs for children | |Other (please list): |
| |Library programs for teens | | |
| |Library programs for adults | | |
| |Preparing / organizing materials for programs | | |
| |Proficiency in a language other than English (please specify: | |* these areas available at Old Worthington Library only |
| |) | | |
Days and times available to work: _______________________________________________
Hours preferred per week: 1-2 ___ 3-4___ 4-6___ less frequent than weekly ___
Depending on assignment and workload, volunteers may work up to 6 hours/week.
I prefer to volunteer: on a regular schedule ___ as-needed / occasionally ___ both ___
Preferred location: Old Worthington ___ Northwest ___ Worthington Park___
Check all libraries where you are willing to volunteer.
I certify that all statements made in my volunteer application are true and correct to the best of my knowledge. I give Worthington Libraries the permission to verify all information contained in this application as may be necessary. I understand that I must submit to a background check before being assigned any volunteer responsibility at Worthington Libraries.
I understand that there is no salary or other compensation for my services as a volunteer. I understand that my assignment may be terminated by the Library or myself with or without prior notice at any time.
I agree to read, sign and adhere to the Volunteer Code of Conduct.
Signature:________________________________________________ Date: ______________
Please return your completed application by mail, email or fax to:
Outreach Services/Volunteer Coordinator
Worthington Libraries
820 High Street
Worthington, OH 43085
lsmith@
Fax: 614-807-2642
Or return it to any public service desk at Northwest, Old Worthington or Worthington Park Library
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